Jessica L Fultz, NP in Blacksburg, VA - Medicare Nurse Practitioner

Jessica L Fultz, NP is a medicare enrolled "Nurse Practitioner" in Blacksburg, Virginia. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lewis Gale Physicians Llc and her current practice location is 801 Davis St, Blacksburg, Virginia. You can reach out to her office (for appointments etc.) via phone at (540) 961-0218.

Jessica L Fultz is licensed to practice in Virginia (license number 0024175078) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1114445897.

Contact Information

	Jessica L Fultz, NP
	801 Davis St, Blacksburg, VA 24060-7008
	(540) 961-0218
	Not Available

Map and Direction

Provider's Profile

Full Name	Jessica L Fultz
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	801 Davis St, Blacksburg, Virginia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jessica L Fultz graduated from nursing school in 2017

NPI Data:

NPI Number: 1114445897
Provider Enumeration Date: 09/01/2017
Last Update Date: 11/14/2019

Medicare PECOS Information:

PECOS PAC ID: 4789959974
Enrollment ID: I20171016000359

Medical Identifiers

Medical identifiers for Jessica L Fultz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114445897	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	0024175078 (Virginia)	Secondary
363L00000X	Nurse Practitioner	0024175078 (Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lewisgale Hospital Montgomery	Blacksburg, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lewis Gale Physicians Llc	6507886231	211

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jessica L Fultz allows following entities to bill medicare on her behalf.

Entity Name	Blue Ridge Medical Management Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326159567 PECOS PAC ID: 9739099441 Enrollment ID: O20040715001336

Entity Name	Lewis Gale Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902977705 PECOS PAC ID: 6507886231 Enrollment ID: O20051128000164

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica L Fultz is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jessica L Fultz, NP 2000 Health Park Dr Fl Hp2, Brentwood, TN 37027-4525 Ph: (615) 373-7600	Jessica L Fultz, NP 801 Davis St, Blacksburg, VA 24060-7008 Ph: (540) 961-0218

Reviews and Comments

Nurse Practitioner Nurses in Blacksburg, VA

Gwendolyn Williams Spangler, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 Research Center Dr # A, Blacksburg, VA 24060 Phone: 540-381-5291
Theresa Ann Buchanan, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Charles W Schiffert Health Ctr, Mccomas Hall, Blacksburg, VA 24061 Phone: 540-231-5313 Fax: 540-231-7473
Mrs. Kristie Lynn Jackson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3700 South Main Street, Blacksburg, VA 24060 Phone: 540-953-5385
Susan I Gaither, RNCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3708 S Main St, Blacksburg, VA 24060 Phone: 540-951-3376 Fax: 540-951-1276
Amanda Mitchell Hale, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 829 Davis St, Blacksburg, VA 24060 Phone: 540-443-3940
Christina Rice, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2617 Sheffield Dr, Blacksburg, VA 24060 Phone: 540-953-2210 Fax: 540-951-9112

Jessica L Fultz, NP - Medicare Nurse Practitioner in Blacksburg, VA